Individual provider Active NPI

Jeannine Ann Hughes, CNMT.,RTR.,RN

  • Nuclear Medicine Technology Radiologic Technologist
  • Maynard, MA
National Provider Identifier
1194265488
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
License
02398 Issued in MA
Practice address
13 Dettling Rd
Maynard, MA 01754-2153
Phone
(978) 793-9137
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
253977MAMDRegistered Nurse
189404MAMDRadiologic Technologist
009140MAMDNuclear Medicine Technology Radiologic Technologist
02398MAMDNuclear Medicine Technology Radiologic Technologist

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 253977 MA
Radiologic Technologist 247100000X 189404 MA
Nuclear Medicine Technology Radiologic Technologist 2471N0900X 02398 MA Primary
Nuclear Medicine Technology Radiologic Technologist 2471N0900X 009140 MA

Addresses

NPPES NPI Registry

Primary practice location

13 Dettling Rd
Maynard, MA 01754-2153

Mailing address

13 Dettling Rd
Maynard, MA 01754-2153

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2017.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1194265488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DETTLING RD",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DETTLING RD",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542153",
            "telephone_number": "978-793-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JEANNINE",
        "middle_name": "ANN",
        "credential": "CNMT.,RTR.,RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "253977",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MA",
            "license": "189404",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "MA",
            "license": "02398",
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "MA",
            "license": "009140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.